I don't see why you should have a problem discharging a pt with a week or few days worth of supplies. I would think it would be your agency stopping you from ordering too much. My agency policed every 4x4 ordered.
Anyway, it is my understanding you want to help this pt obtain supplies after discharge. If the DME suppliers won't try to bil and get reject from Medicare first, and won't take Medi-cal upfront, and I assume you have tried several DME suppliers, not just the ones your HH agency uses, I would think there is only one way to go about this.
The pt wil have to pay ufront, then submit the bill to Medicare himself, then when he gets a denial, send the bill to Medical I I never heard of medical is that medicaid california style?)
Obviously this is stupid, b/c if someone qualifies for caid, then they theorectically cannot afford the cost of meds, etc... How is he getting his meds?? That is usually the way pharmacies have to do it, so I am wondering why his pharmacy won't??
If you don't get a reasonable answer, I would try to speak to someone in your local offices of both medicare and medical, and ask how to go about this? Ask to file a quality complaint. Specifically, why the patient cannot sign an ABN for the DME suppliers, like they do in homecare.
Keep trying orther DME companies, there must be someone out there who can ship the supplies and wil do this. It doesn't have to be a local company.
Good luck, how utterly frustrating a situation this is!!!